Individual
MS. LEEANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
74 DOWD RD, BANGOR, ME 04401-6700
(207) 947-6800
Mailing address
74 DOWD RD, BANGOR, ME 04401-6700
(207) 947-6800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC1601
ME
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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